A 20 years old patient from Pakistan admitted to the hospital with fever chills cough sputum discharge and skin sore on the right wrist. In physical examination: Anemia, butterfuly pigmentation on his face, scaltered rounded pigmentation on the lower limbs enlarged spleen reaching left. iliac fossa enlarged firm liver, moist and dry rales at the base of the lungs was found on physical examination pleural effusion was established 12 days afteradmission. Laboratory tests revealed Leukopenia thrcrnbo­cytopenia low blood albumin and hypergamma globuli­nemia. In third bone marrow aspiration leishman body was found Immunofluorescence test reported positive 1 ( 4026 ) . Visceral leishmaniasis (Kala-Azar} was the diag- nosis·, treatment with Glucantim was quiet effective, and all the sings and symptoms were disappeared at  the time of discharge (rom the hospital.